SOP 104.58-att-8: Drug Test Awareness Statement/Notification (Pre-Employment)
Summary
Key Topics
- pre-employment drug testing
- drug test notification
- conditional employment
- drug screening
- urine test
- substance abuse testing
- employment contingency
- positive drug test
- drug test refusal
- laboratory testing
- CHRM
- disciplinary action
Full Text
SOP 104.58
Attachment 8
8/19/20
MEMORANDUM
TO: Employee Name and SSN
FROM: Appointing Authority Name/Title
SUBJECT: DRUG TEST AWARENESS STATEMENT/NOTIFICATION
(PRE-EMPLOYMENT)
DATE: Date Being Issued
Your employment, in the position offered, is contingent upon passing a drug test.
The initial drug test will be administered on-site. If this test confirms a negative result, the pre-employment
drug test procedure is complete. If the on-site drug test cannot confirm a negative result, Human Resources
will send the urine collection out to an independent lab for further testing.
If you test "positive", expressly refuse to take the drug test, fail to appear for this test, or fail to produce a
sufficient urine sample by the specified deadline, this employment offer will be withdrawn. If you are a
current State of Georgia employee, your current agency will be contacted with the positive result by
Corrections Human Resources Management (CHRM). If you are a GDC employee, a positive test result
may result in disciplinary action, up to and including termination.
Print Employee Name
Print Employee Name Employee ID (if applicable) Employee SSN#
Employee Signature Date
Employee ID (if applicable)
Date
Retention Schedule: Upon completion, this form shall be retained permanently in the employee’s local and official personnel
file. If not hired, the form shall be retained in the Interview/Selection file for twos (2) calendar years.